PC HALF IRON TRIATHLON &
ENDURANCE DUATHLON Entry Form
Saturday, June 28, 2008, 9:00AM
Wickiup Reservoir to Sunriver, Oregon
TRI - 1.2-Mile Swim, 56-Mile Bike, 13.1-Mile Run
DU - 56-Mile Bike, 13.1-Mile Run

Web site: www.racecenter.com/pacificcrest
Email: events@racecenter.com

*TRI NorthWest Ranked Event
*NOTE: THIS EVENT IS NOT SANCTIONED BY USA TRIATHLON

Official Use Only

The Pacific Crest multisport events are under Special Use permit from the Deschutes National Forest.

Instructions
> Type in your information in the blanks provided.
> Print entry form & SIGN WAIVER (Entry will not be accepted without the signed waiver)
> Make Checks Payable to: PCT

Mail to:
AA Sports, Ltd.
4840 SW Western Ave.
Suite 400
Beaverton, OR 97005

Event (Choose One)

NOTE: This race is limited to the 1000 bikes (athletes)
ENTRY FEES ARE NON-REFUNDABLE / NON-TRANSFERABLE

Individual
(ENTRY FEES INCLUDE: Commemorative T-shirt & Finisher medal, Pre & Post Race Dinners, and a 1st Class event.)
- Triathlon - Individual (before May 31) - $175.00 Triathlon - Individual (June 1 - June 26) - $195.00 Triathlon - Individual (Race Weekend) - $225.00 (if space available) Duathlon - Individual (before May 31) - $175.00 Duathlon - Individual (June 1 - June 26) - $195.00 Duathlon - Individual (Race Weekend) - $225.00 (if space available)

Relay - Two or Three Person (EACH PERSON MUST FILL OUT SEPARATE ENTRY FORM & ALL MUST BE MAILED IN TOGETHER)
(ENTRY FEES INCLUDE: Commemorative T-shirt & Finisher medal, Pre & Post Race Dinners, and a 1st Class event.)
- Triathlon Relay Team (before May 31) - $80.00/per person Triathlon Relay Team (between June 1 - June 26) - $90.00/per person Triathlon Relay Team (Race Weekend) - $100.00/per person Duathlon Relay Team (before May 31) - $80.00/per person Duathlon Relay Team (between June 1 - June 26) - $90.00/per person Duathlon Relay Team (Race Weekend) - $100.00/per person

First Name / MI / Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy (birth year not 2008)

Age

Gender
- Female Male
Phone

Email

Division (Individual)
- 15 - 17 years 18 - 24 years 25 - 29 years 30 - 34 years 35 - 39 years 40 - 44 years 45 - 49 years 50 - 54 years 55 - 59 years 60 - 64 years 65 - 69 years 70 - 74 years 75 years & over
Special Divisions (Applies to Individuals ONLY)
-Clydesdales (males 198lbs and over)Athena (females 150lbs and over)Family and Friends
RELAY MUST COMPLETE*
* Team Name (20 characters or less)

* Triathlon Relay Division (TRI-Combined three ages; DU-Combined two ages)
- Triathlon - 105 & Under - All Men's Triathlon - 105 & Under - All Female's Triathlon - 105 & Under - Mixed Triathlon - 106 & Over - All Men's Triathlon - 106 & Over - All Female's Triathlon - 106 & Over - Mixed Duathlon - 70 & Under - All Men's Duathlon - 70 & Under - All Female's Duathlon - 70 & Under - Mixed Duathlon - 71 - 90 - All Male Duathlon - 71 - 90 - All Female Duathlon - 71 - 90 - Mixed Duathlon - 91 & Over - All Men's Duathlon - 91 & Over - All Female's Duathlon - 91 & Over - Mixed

Swimmer

Biker

Runner

T-Shirt Size - Commemorative 100% polyester Technical T-shirt (included with race entry fee)
- S M L XL XXL (add $2.00 to entry fee)
ChampionChip Number (if applicable - Example - CE12345)

TRI NorthWest Membership # (if applicable - deduct $10.00 if a member)

Check#

Amount Enclosed


WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
OFFICIAL WAIVER: I acknowledge that a Multi-Sport Event is an extreme test of a person's physical and mental limits and carries with it the potential for death, series injury, and property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am capable of completing all disciplines of the event, and that I am physically fit and that I have sufficiently trained. I agree to abide by the competitive rules. I hereby take the following action for myself, my executors, administrators, heirs, next to kin, successors and assigns, or anyone else who might claim or sue on my behalf, and I hereby waive, release and discharge from any and all claims, losses, or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, or theft which may arise out of or relate to my participation in this event. I agree not to sue, and to hold harmless any and all persons, sponsors, volunteers, participants or government agencies for any and all claims or liabilities that I have waived, released or discharges herein. I further agree to return the timing Chip that is been issued to me or to pay a $30 replacement charge. ENTRY FEES ARE NON-REFUNDABLE.

Type Full Name


Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age of 18)

Date________________________________________